Disha Trivedi (NPI# 1750522264, PAC ID# 1254577000) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEPHROLOGY.
| Nation Provider ID (NPI) | 1750522264 |
| PAC ID by PECOS | 1254577000 |
| Professional Enrollment ID | I20141104000989 |
| Full Name | Disha Trivedi |
| Organization Legal Name | SPACE COAST NEPHROLOGY ASSOCIATES PLLC |
| Address |
450 Malabar Rd Se Unit 102 Palm Bay FL 32907-3111 |
| Phone Number | 3214353655 |
| Gender | F |
| Graduation Year | 2006 |
| Primary Specialty | NEPHROLOGY |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 1355681032 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100019 | HOLMES REGIONAL MEDICAL CENTER |
| 100316 | PALM BAY HOSPITAL |
| 100291 | STEWARD MELBOURNE HOSPITAL |
| 100092 | WUESTHOFF MEDICAL CENTER ROCKLEDGE |
| 100315 | VIERA HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2200 W Eau Gallie Blvd, Suite 202b, Melbourne, FL 32935-3166 | 3217282722 | SPACE COAST NEPHROLOGY ASSOCIATES PLLC |
| 450 Malabar Rd Se, Unit 102, Palm Bay, FL 32907-3111 | 3214353655 | SPACE COAST NEPHROLOGY ASSOCIATES PLLC |
| Organization Legal Name | SPACE COAST NEPHROLOGY ASSOCIATES PLLC |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anthony Hoang Tran | Nephrology | Space Coast Nephrology Associates Pllc | 450 Malabar Rd Se, Unit 102, Palm Bay, FL 32907-3111 |
| Wayne D Rodriguez | Nephrology | Space Coast Nephrology Associates Pllc | 109 Silver Palm Ave, Melbourne, FL 32901-3125 |
| Tamer S Ahmed | Nephrology | Space Coast Nephrology Associates Pllc | 2200 W Eau Gallie Blvd, Suite 202b, Melbourne, FL 32935-3166 |
| Rhodes Kriete | Nephrology | Space Coast Nephrology Associates Pllc | 109 Silver Palm Ave, Melbourne, FL 32901-3125 |
| Claus Spies | Nephrology | Space Coast Nephrology Associates Pllc | 109 Silver Palm Ave, Melbourne, FL 32901-3125 |
| Chirag R Faldu | Nephrology | Space Coast Nephrology Associates Pllc | 109 Silver Palm Ave, Melbourne, FL 32901-3125 |
| Vishnu G Patel | Nephrology | Space Coast Nephrology Associates Pllc | 450 Malabar Rd Se, Unit 102, Palm Bay, FL 32907-3111 |
| Street Address |
450 MALABAR RD SE UNIT 102 |
| City | PALM BAY |
| State | FL |
| Zip | 32907-3111 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anthony Hoang Tran | Nephrology | Space Coast Nephrology Associates Pllc | 450 Malabar Rd Se, Unit 102, Palm Bay, FL 32907-3111 |
| Vishnu G Patel | Nephrology | Space Coast Nephrology Associates Pllc | 450 Malabar Rd Se, Unit 102, Palm Bay, FL 32907-3111 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ashish R Udeshi | Anesthesiology | Tampa Pain Relief Center Inc | 490 Centre Lake Nedr, 200b, Palm Bay, FL 32907-1113 |
| Carlos Martinez Solis | Internal Medicine | Medfast Urgent Care Centers LLC | 490 Ctr Lake Dr Ne, Suite 200, Palm Bay, FL 32907-1113 |
| Eric Vaughn Palmer | Nurse Practitioner | Medfast Urgent Care Centers LLC | 490 Ctr Lake Dr Ne, Suite 200, Palm Bay, FL 32907-1113 |
| Harry W Carroll | Nurse Practitioner | Medfast Urgent Care Centers LLC | 490 Ctr Lake Dr Ne, Suite 200, Palm Bay, FL 32907-1113 |
| Jennifer Dawn Logan | Nurse Practitioner | Medfast Urgent Care Centers LLC | 490 Ctr Lake Dr Ne, Suite 200, Palm Bay, FL 32907-1113 |
| John W Rothwell Iii | Nurse Practitioner | Medfast Urgent Care Centers LLC | 490 Ctr Lake Dr Ne, Suite 200, Palm Bay, FL 32907-1113 |
| Victor Cisneros | Nurse Practitioner | Medfast Urgent Care Centers LLC | 490 Ctr Lake Dr Ne, Suite 200, Palm Bay, FL 32907-1113 |
| Howard Gershman | General Practice | Medfast Urgent Care Centers LLC | 490 Ctr Lake Dr Ne, Suite 200, Palm Bay, FL 32907-1113 |
| Radoslaw J Czajkowski | Family Practice | Medfast Urgent Care Centers LLC | 490 Ctr Lake Dr Ne, Suite 200, Palm Bay, FL 32907-1113 |
| Kerri L Connell | Physician Assistant | Medfast Urgent Care Centers LLC | 490 Ctr Lake Dr Ne, Suite 200, Palm Bay, FL 32907-1113 |
| Find all physicians in zip 32907 | |||
| City | PALM BAY |
| Zip Code | 32907 |
| Specialty | NEPHROLOGY |
| City + Specialty | PALM BAY + NEPHROLOGY |
Please comment or provide details below to improve the information on Disha Trivedi.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.